Tins Bernhard J, Cassar-Pullicino Victor N, Lalam Radhesh K
Department of Radiology, The Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, United Kingdom.
Top Magn Reson Imaging. 2007 Jun;18(3):213-22. doi: 10.1097/RMR.0b013e3180f60c3f.
This article reviews the pathophysiology of spinal infection and its relevance for imaging. Magnetic resonance imaging (MRI) is the modality with by far the best sensitivity and specificity for spinal infection. The imaging appearances of spinal infection in MRI are outlined, and imaging techniques are discussed. The problems of clinical diagnosis are outlined. There is some emphasis on the MRI differentiation of pyogenic and nonpyogenic infection and on the differential diagnosis of spinal infection centered on the imaging presentation.
本文综述了脊柱感染的病理生理学及其与影像学的相关性。磁共振成像（MRI）是目前对脊柱感染敏感性和特异性最高的检查方式。文中概述了脊柱感染在MRI上的表现，并讨论了成像技术。还概述了临床诊断中存在的问题。重点讨论了MRI对化脓性和非化脓性感染的鉴别，以及基于影像学表现对脊柱感染的鉴别诊断。
